RT Journal A1 Flint L T1 Surgeons rediscover, patient outcomes improve: Comment on “ffp:rbc resuscitation ratio and post-shock fluid uptake” JF JAMA Surgery JO JAMA Surgery YR 2013 FD March 1 VO 148 IS 3 SP 245 OP 245 DO 10.1001/jamasurg.2013.632 UL http://dx.doi.org/10.1001/jamasurg.2013.632 AB One area of interest emerging from combat injury experiences in Iraq and Afghanistan is coagulopathy associated with shock. Military data suggest that rapid control of bleeding using expedited operations (damage control), early use of clotting factors, and reduced volumes of electrolyte solution are associated with reduced mortality.1 This is not a new idea. Sheldon et al2 from San Francisco General Hospital proposed a protocol to prevent coagulopathy in 1975; the approach emphasized early replacement of clotting factors.